mykres spinal system SHOWA IKA small implants with a big difference

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1 mykres spinal system small implants with a big difference SHOWA IKA

2 8 years of innovative development 6000 succesful cases 1 innovative spinal system

3 Introduction Mykres is a unique system with a unique history. 8 years and 6000 cases afer 6 of the leading Japanese surgeons first met to design one of the lowest profile systems on the market, Mykres has become a truly world class product that has been tried and tested by surgeons all over the globe. FDA, CE and ISO approved, this system uses the latest in Japanese technology to provide surgeons with an innovative and high quality set of tools that can treat a wide range of spinal pathologies.

4 mykres spinal system small implants with a big difference MYKRES is a 5mm Spinal System that consists of innovative posterior, hook and anterior implants that are unique in their less invasive design and stand-out clinical and biomechanical results. Furthermore we have spent years in developing a truly intuitive set of instruments that work effortlessly with the implants. INDICATIONS Degenerative Disease Trauma Grade I/II Spondylolisthesis Deformity Tumors & Infections Complete System Specification (Posterior, Hook & Anterior) Rod Implant Options Sizes Indications & Notes MonoAxial Screws PolyAxial Screws Dia: 5mm; 6mm*; 4.5mm* Length: 30mm - 450mm (5mm increments) Dia: 4.75mm; 5.5mm; 6mm; 7mm; 8mm Length: 30mm - 55mm Dia: 4.75mm, 5.5mm, 6mm, 7mm Length: 30mm - 55mm Posterior, Anterior, Hook *for MonoAxial screw only Posterior / Anterior / Hook Posterior / Hook Transverse Connectors Length: 27mm - 47mm Posterior / Hook For 5mm or 6mm dia Rods

5 Over 6000 cases have been performed worldwide with outstanding results. In depth case studies and write ups can be found in a supplementary package. Clincal Efficacy Less Invasive Implants MYKRES implants are less invasive in their design through their uniquely low volume & profile which helps reduce soft tissue and muscle damage around the fusion site and limits patient pain after surgery. Despite their low volume and less invasive design, Mykres implants have performed to levels that equal or exceed other leading brands in a variety of stringent biomechanical tests Rod-Screw Slippage Test versus leading systems Biomechanical Strength Peak Load (N) A B C MYKRES D E F * Dept. of Orthopaedic Surgery, Dokkyo Medical Uni. Koshigaya Hospital Hooks Anterior Plates Washers Implant Options Sizes Indications & Notes Rod / Screw Connectors Blade Width: Blade Length: Single Plate Double Plate Dia: 4.75mm; 5.5mm; 6mm; 7mm Height: 3mm - 7mm Horizontal: Small, Medium Oblique: Small, Medium Hook Anterior Rod Couplers available for double rod constructs Posterior / Anterior Posterior / Hook

6 Posterior Posterior key innovation Advanced PolyAxial Screws RodGuard technology Secures rod after tightening Eliminates chance of rod slippage Provides a intuitive interface for PolyAxial Screwdriver Not only are MYKRES implants reliable and safe, they are also innovative. Cutting edge design and the latest manufacturing techniques have helped us produce some of the most advanced spinal implants on the market today. Poly/MonoAxial Screws Innovative features enhance strength and ease of use. Variety of lengths and diameter available. Colour coded according to diameter size. 36D angulability Provides enough movement to get around the most tricky of areas Widened core Increases strength of thread and reduces chance of breakage Rods Primarily a 5mm Rod System, however 4.5mmm and 6mm rods available for specialist cases (monoaxial screws & hooks only). Pre-cut rods in increments of 5mm mean no need for rod cutting which saves time during surgery.

7 Rod/Screw Connectors Advanced Hexalobular Torx Locking System Prevent plug pop-out Eliminate chance of cross threading Secure closure with minimal torque Allow rods to be attached without multiple bends - excellent for longer fusions. Variety of lengths and angles provide options for any kind of case and anatomy. key innovation Less Invasive Implants Mykres has one of the lowest profile implants on the market today, but with the robustness and strength equal to that of larger and bulkier systems. Smaller implants reduced soft tissue and muscle damage around the screw site PolyAxial Screw Head: Volume (mm ) versus leading systems 30 mm A Transverse Connectors Can be lengthened and bent in any direction. Wide range of sizes available. B MYKRES C D

8 Hook Hook Features and Benefits: Wider range of implants options More options mean easier to find a hook with better grip on the bone Innovative Hook Design Easier fit onto the rod and increased pull-up performance key innovation Incisive Hook Design Blades specially designed to cut through soft tissue without damaging the bone when in position. When the Plug is tightened, the hook pulls up on to the bone to provide a stronger grip

9 Anterior Anterior Features and Benefits Easy to use instrumentation The majority of instruments can be taken from the standard Mykres set. Other specialist instruments for Anterior surgery are easy to use and aid quicker surgery times. Compatible with washers Help increase the height of the screw, particularly useful in scoliosis cases Double & Single Guard Plates Prevent screws from subsiding into the vertebral bodies Better Anterior Options key innovation Anterior System is one of the only systems on the market to combine plates screws and washers on the same construct As well as 5mm and 6mm rods, 4.5mm rods can also be used in the anterior approach thanks to our specialist less invasive 4.5mm MonoAxial Screws

10 Minimally Invasive Implants Biomechanical Strength Clinically Proven mykres spinal system

11 SHOWA IKA Showa Ika was founded in Japan in 1979 with the clear aim of providing assistance for better surgery. Showa has now grown in to one of the largest orthopedic medical device producers in Japan and is rapidly building a dedicated and professional sales and distribution network globally. If you are interested in becoming a distributor of Showa Ika products, please contact us at showa@showaika.com. For surgeons and medical professionals interested in working with Showa Ika products please contact Showa Ika at showa@showaika.com for information about your local dealer. For more clinical case studies, please consult the supplementary clinical case study package. For full Mykres implant and instrument catalogue please consult the supplementary product list. MYKRES is a FDA, CE, ISO and JFDA approved system. All implants and instruments are made to the highest standards. For a complete review of our certifications please consult your local dealer or contact us at showa@showaika.com

12 SHOWA IKA Tel: JAPAN (HQ) Showa Ika Kohgyo Co., Ltd. 8-7 Haneinishi-Machi, Toyohashi, Aichi, Japan Tel: Fax: EUROPE Showa Ika Europe SA. Rue des Pres, 84, 2503, Bienne, Switzerland Tel: version 1.1

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